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About Jim B
(Top Expert on this page)

Expertise
I can answer a variety of questions concerning the physical care of burns and burn patients which commonly are of interest to both patients and their families. Also I may be helpful in suggesting lifestyle modifications which will help with a more complete recovery from a serious burn. I can also accept questions regarding the physical classifications of burns and the implications regarding the size, depth, and location of burns. What I cannot answer based on my own knowledge and experience I can refer to my current and former collegues in the field including the plastic and trauma surgeons and burn recovery organizations. In many of these cases I will provide a line of communication directly to a specific expert or organization. While I can describe general treatments routines with which I am experienced,I cannot answer questions dealing with specifuc diagnosis of conditions or problems. Additionally, please understand that the area of burn treatments is an experimental one in which there is constant progress and change. Each Burn Center invests a major effort in the development of new materials, treatments, medications, and techniques. In this area of constant change and growth no one can be fully aware of all treatment courses employed.

Experience
I am a licensed Paramedic and have also worked as a wound technician in a large regional Burn Center in a Trauma Level 1 hospital. I have experience in the areas of burn evaluation and care, both long-term and immediate first aid. I have also worked as a volunteer couselor with post-burn patients dealing with issues ranging from life-style changes to re-entering the world as a serious burn survivor.

Education/Credentials
BA Economics and Biology, AA Health Care Management, EMT-P licensed in Missouri, ABLS (Advanced Burn Life Support)qulification, ACLS-EP (Advanced Cardiac Life Support-Experienced Provider), Former National Ski Patrol Winter Emergency Care Instructor and Senior Evaluator, Emergency Medical Technician and Paramedic Instructor.

You are here: Experts > Health/Fitness > First Aid/Emergency Medicine > Burns

Subject	Date Asked	Expert

Burn	10/13/2008	Jim B
Q: Hey Jim, I was emptying water out of a clothes steamer and I guess boiling hot water from one of ... A: Hold with the silvadene until the blister breaks. Until then wash the area well frequently but try ...
long term burn complications.	10/13/2008	Jim B
Q: I received gasoline burns about three years ago to my legs just above the boot line on my calves. ... A: I suspect (a guess) that there may be a small angioma or neuroma that has formed under the scar. IF ...
Infant Burn experience	10/13/2008	Jim B
Q: I found out recently that I was burned severely as a 4 month old. The only things I know about this ... A: Interesting question. I too was burned as an infant (boiling water on my feet when I was 2. I ...
Grease Burn on arm	10/12/2008	Jim B
Q: Ok, So about 20 minutes ago I was cooking and not paying 100% attention to what I was doing and ... A: Owwwwwchhh! Cool with cold/cool water (no ice!!!) wash with soap/cool water and pat dry. Cover ...
burn scar	10/12/2008	Jim B
Q: Please tell me about the scar that cause by burn remains through out the life or any prevention or ... A: Burns that are deeper than the dermis layer of skin,into the fatty layer or into muscle (or deeper) ...
lip burn	10/12/2008	Jim B
Q: I have a hot oiled popcorn kernal that has burned my husband's lip from kettle corn cooking when it ... A: ANy good lip balm will help. I prefer Carmex in the little jar because it is soft and lasts longer ...
burns	10/11/2008	Jim B
Q: So I burned my right thumb and index finger on the actual rods that the heat comes from in the oven. ... A: These may be third degree burns and they need to be seen by a doctor at least once. They need to be ...
Bad Motor cycle burn	10/11/2008	Jim B
Q: I got a motor cycle burn on wednesday night, I iced it and put on neosoprin and have been very ... A: I would see the doctor on this one. It needs a prescrition cream called Silvadene, and the doctor ...
facial burn stages of healing and treatment	10/11/2008	Jim B
Q: i contacted you a few weeks ago about a facial burn which i received from having put a thermal self ... A: I would stick to Mederma and avioid the other medicated creams for the next month. You can add a ...
Child burned from noodles	10/11/2008	Jim B
Q: Last November a cup of hot noodles/water spilled on my 5 year old's left thigh. The skin blistered ... A: It will go away over time and will not be a true scar. She will slowly replace the damaged "first ...
Chlorine Tablet Burn	10/10/2008	Jim B
Q: I was putting chlorine tablets in my pool and there was some moisture in the packet. I inhaled some ... A: Clean all spots well daily with soap and water and apply some neosporin regularly during the day. On ...
scalp	10/10/2008	Jim B
Q: When my sister received a relaxer (botanicals) her regular brand she has been using for years, the ... A: This is not uncommon as a problem. The usuall recommendation is to clean the area very well daily ...
wax burns	10/9/2008	Jim B
Q: I had an eyebrow wax and did not tell the esthetician I am on Retin A....It burned and and seemed to ... A: coat the area with neosporin and after about a week it should be much better and you can switch to a ...
numb fingertip after mild burn	10/9/2008	Jim B
Q: 10 days ago, I touched a pot that came out of the oven with my left fingertip. The fingertip did not ... A: Fingers are sometimes a bit odd as they heal. Depending how hot and how deep the burn was some ...
Burn lips with grease	10/8/2008	Jim B
Q: I burned my lips real bad around three week ago with spatting grease.I have been putting on neospone ... A: I need a little more information to try to help you. Three weeks is a long time for a lip burn not ...
burn with spots	10/7/2008	Jim B
Q: I burned my inner arm on a pan out of the oven. It is 3 inches long and 3/4 inch wide. I have been ... A: Hmmmm! What is the texture of the spots? Soft, pliable and normal? Or rougher, thicker, raised or ...
2nd degree burns - treatment	10/6/2008	Jim B
Q: I burnt myself with boiling water by accident, on both hands. I went to Casualty to have it checked ... A: Keep the burns covered and coated with burn ointment until the blisters are gone AND as long as any ...
burn with spots	10/6/2008	Jim B
Q: I burned my inner arm on a pan out of the oven. It is 3 inches long and 3/4 inch wide. I have been ... A: What color are the spots? And was there a blister? As a rule the new skin that has replaced that ...
bad blister	10/5/2008	Jim B
Q: The other night i had a little accident and ended up on a boiler. There are huge blisters all over ... A: I would go to the hospital with this one (or your doctor. Big burns in places where you have trouble ...
Burns	10/5/2008	Jim B
Q: I am an Indian girl, with fair complexion. On Oct.1, I burnt 75% of my face and upper portion of ... A: The mederma can be used anywhere on the face. It is just a very good skin moisturizer and protector. ...
Hot glue gun burn	10/5/2008	Jim B
Q: Last night I burnt myself pretty bad with a glue gun. I was gluing pennies for a project and I think ... A: For the next day or so just wash and redress with neosporin and the bandaid. After the thrd day wash ...
first degree burn	10/5/2008	Jim B
Q: I burned myself with hot water and the burned skin peeled off,now the second layer of skin is ... A: I would guess that the skin should be closed with no raw bits in a total of 14 days. The skin will ...
Poppers Face Burns	10/4/2008	Jim B
Q: One week ago someone spilled poppers (amyl nitrite) on to my cheek. The skin became very inflamed, ... A: The reddness is an effect of amyl nitrate, and should slowly heal back to normal. Keep it covered ...
IPL burn marks	10/4/2008	Jim B
Q: I received IPL treatment on my face, during which I was in agonizing pain. It felt like I was being ... A: The tech really overdid your treatment. But not all is lost. I am not expert in these procedures and ...
Liquid iron burns	10/3/2008	Jim B
Q: What is the immediate first aid treatment for a person who has come in contact with liquid iron? ... A: I need a little clarification. Are you referring to molten iron? or something like a chemical burn? ...
2nd degree burn on top of feet	10/3/2008	Jim B
Q: Jim, A couple days ago I had to go to the emergency room because I fell in a campfire.I was told I ... A: Lets follow up with the doctor on the foot burns. These can be tough to manage both because we are ...
burn-like area on my face	10/3/2008	Jim B
Q: Dr. Jim I am a teen with a few pimples on my face. 2 days back i banged my rigt cheek on the wall ... A: I think a trip to the doctor is in order here. It is a little hard to tell exactly what you are ...
sudocrem on facial burn	10/2/2008	Jim B
Q: is it safe to use sudocrem on a second degree burn to the face which is still trying to heal , has ... A: There is no reason why it would hurt and may help some. I would prefer Mederms for this purpose, ...
Burned forehead	10/1/2008	Jim B
Q: I got burned from a curling iron last september 2007. I was so devastated because I am very light ... A: OK, First of all don't be sad. It will go away on its own, but since it has been awhile, we can give ...
2nd degree burn on top of feet	10/1/2008	Jim B
Q: Jim, A couple days ago I had to go to the emergency room because I fell in a campfire.I was told I ... A: Ouch! First some general things about care for these burns.I would classify any major burns on a ...
Big Burn	10/1/2008	Jim B
Q: Jim~I have a burn on my left calf from a motorcycle,I never covered it in the beginning and the ... A: This is very likely an infected burn, and probably with a bug named Pseudomonas. It needs immediate ...
TCA burn	10/1/2008	Jim B
Q: About a month ago, or 3 weeks ago, not sure exactly, I did a home TCA chemical peel. I had already ... A: I think it might have been wise to wait longer between treatments, especially since you were going ...
How long should Silvadene be used?	9/30/2008	Jim B
Q: Jim, This past weekend, I accidentally dropped a cup of tea on my husband's foot. The tea was so ... A: No. Scabs happen where deep skin layers are healing but dry out at the surface and contract into a ...
How long should Silvadene be used?	9/30/2008	Jim B
Q: Jim, This past weekend, I accidentally dropped a cup of tea on my husband's foot. The tea was so ... A: Most deep scalds are a mixture of burn types. The good news is that they tend to heal completely or ...
i have a few qs on my burn	9/30/2008	Jim B
Q: so about 3 weeks ago i was burned with a hot coal on my calf and it is about eight inches long now ... A: As far as I an tell from your note you are doing everything right. Make sure that you wash the burn ...
Burn won't heal	9/30/2008	Jim B
Q: I got burned on my shoulder from a small propane grill August 15th. From what i've read, I'm fairly ... A: Most second degree burns (a burn that affects the epidermis and below into but not through the ...
Bumps and rash associated with healing burn	9/29/2008	Jim B
Q: I received a second degree burn when the oven door closed on my arm. (My "cookie baking accident":) ... A: Burn jels are OK for first degree burns but have a mixed history with second and third degree burns. ...
Coffee Burn	9/29/2008	Jim B
Q: Yesterday I accidently spilled coffee on my arm by the joint of my arm and I did not treat it until ... A: Moe! if a stooges fan), Did this burn form a blister? If so, it is a second degree burn. The ...
Burn in throat and stomach from overheated food in microwave	9/28/2008	Jim B
Q: I have a 17 year old severely autistic boy who was heating his food in the microwave while my 15 ... A: There are several sore throat sprays like Cepracol which are available to help with burns in the ...
Small Burn on finger	9/28/2008	Jim B
Q: I have been reading all types of horror stories, on the net, about burns and I am scared at ... A: Like the button on "Hitchhiker's Guide to the Galaxy" says: Don't Panic!" At worst I think this ...

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